| NPI | 1306478151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-24550) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101273110) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2025-10-27 |